NPIMap

Organization Active NPI

North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
National Provider Identifier
1962679407
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
210 Issued in LA
Legal business name
NORTH CADDO HOSPITAL SERVICE DISTRICT
Practice address
815 S Pine St
Vivian, LA 71082-3314
Phone
(318) 375-3235
Fax
(318) 375-5938
NPI assigned
May 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. David Jones
Title
Ceo
Phone
(318) 375-4001

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 210 LA Primary

Addresses

Primary practice location

815 S Pine St
Vivian, LA 71082-3314

Mailing address

815 S Pine St
Vivian, LA 71082-3314
Phone (318) 375-3235

Other identifiers 1

IdentifierTypeStateIssuer
1733199MedicaidLA

Other names 1

  • North Caddo Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
N Caddo Medical Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1962679407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823314",
            "telephone_number": "318-375-3235",
            "fax_number": "318-375-5938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823314",
            "telephone_number": "318-375-3235",
            "fax_number": "318-375-5938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CADDO HOSPITAL SERVICE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "318-375-4001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "LA",
            "license": "210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1733199",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Caddo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Caddo Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vivian, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.